Tara Mendres, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL2312 Issued in FL

Practice address

3023 Sunlake Blvd
Land O Lakes, FL 34638-8155

Phone

(813) 346-1026

NPI assigned

Mar 20, 2020

Last updated

Mar 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tara Henderson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1376179473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13815 CADEN GLEN DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346695021",
            "telephone_number": "239-810-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 SUNLAKE BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388155",
            "telephone_number": "813-346-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDRES",
        "first_name": "TARA",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL2312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tara.Mendres@ptsolutions.com",
            "affiliation": "N",
            "address_1": "3023 Sunlake Blvd",
            "city": "Land O Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346388155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "HENDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Thomas Meehan, RD, LD/N
• Erika Schaefer Meier, ARNP-C
• Juan David Mejia, D.C
• Mourad Mekhael
• Mina Wagih Mekhail
• Naresh P Menezes, M.D.
• Paige L Merchant
• Autumn Meriwether, MSW
• Samantha Lopez Meshula, PT
• John Jeffrey Metz, D.M.D., M.S.

• Athletic Trainer in Land O' Lakes, FL
• Providers in Land O' Lakes, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.